     

                          
                                          

            
                                                  
     
                             
                                                         
     

                                    

                         
     
                                        
     
 

<h1>New Customer</h1>
<form method="post" class="form-horizontal">
    <div class="text-danger"></div>
    <div class="form-group">
        <label class="col-md-2 control-label">     </label>
        <div class="col-md-10">
            <input class="form-control" />
            <span class="text-danger"></span>
        </div>
    </div>
    <div class="form-group">
        <div class="col-md-offset-2 col-md-10">
            <button type="submit" class="btn btn-primary">Save</button>
        </div>
    </div>
</form>
